Right Shoulder Spinal Accessory Nerve Palsy and Eden Lange Procedure
This exhibit features six illustrated operative steps to describe right shoulder nerve palsy and the subsequent Eden Lange procedure. The pre-operative condition depicts a drooping right shoulder and atrophied trapezius. An incision is then made along the medial border of the scapula. The levator scapulae, trapezius and rhomboids are released. Bone tunnels are drilled near the acromion, and sutures are placed in the levator scapulae. Holes are then drilled in the scapula where the supraspinatus and infraspinatus were released. Levator sutures are run through the bone tunnels and tied. The rhomboids are then sutured to the scapula. Finally, the supraspinatus, infraspinatus, and trapezius are reattached to the scapula.